NPIMap

Organization Active NPI

Grand Strand Family and Esthetic Dentistry

  • Dentist
  • Myrtle Beach, SC
National Provider Identifier
1518155415
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2503 Issued in SC
Legal business name
GRAND STRAND FAMILY AND ESTHETIC DENTISTRY
Practice address
3409 N Kings Hwy
Myrtle Beach, SC 29577-2929
Phone
(843) 448-6434
NPI assigned
Oct 5, 2007
Organization subpart
Yes
Parent organization
GRAND STRAND FAMILY AND ESTHETIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Walter J Machowski, DMDNPI 1184767105
Title
Pres
Phone
(843) 448-5434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2503 SC Primary

Addresses

Primary practice location

3409 N Kings Hwy
Myrtle Beach, SC 29577-2929

Mailing address

3409 N Kings Hwy
Myrtle Beach, SC 29577-2929
Phone (843) 448-6434

National Provider Directory

National Provider Directory
Tax ID family
Grand Strand Family and Esthetic Dentistry3 organizations share this tax ID, including this one
Part of
Grand Strand Family and Esthetic Dentistry

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3409 N Kings Hwy
Myrtle Beach, SC 29577
Phone (843) 448-6434

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1518155415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772929",
            "telephone_number": "843-448-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772929",
            "telephone_number": "843-448-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND FAMILY AND ESTHETIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND STRAND FAMILY AND ESTHETIC DENTISTRY",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MACHOWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "843-448-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.